Apply for Loan:

R250 - R8000

Pensioners, Grants Recipients, Students, Employees and Self-Employed

_____________________________

Loan Amount :

Repayment Date :

Sales Agent Name:

First name

Last name

ID Number

Phone Number

Address

Province

Income:

Additional Income:

Monthly Total Expenses:

Bank Name:

Account Type:

Account Number:

Next of Kin Name :

Next of Kin Relationship :

Next of Kin Phone Number:

Company / Institution Name :

Company / Institution Address:

Company / Institution Contact Number:

Employee Number

Employment Type:

Face Picture:

Attach ID Picture:

Attach 3 Months Bank Statement:

I hereby confirm that I can afford to repay the loan amount, including all applicable interest and fees, and that I will be able to repay the full amount by the repayment date specified above.

I hereby confirm that I am not currently under debt review, sequestration, administration, or subject to any form of insolvency proceedings.

I consent to the collection, verification, and processing of my personal information in terms of the National Credit Act and POPIA, including a credit affordability assessment, and authorize MY CHING Loan Service Provider and its partners, including credit bureaus, to process the information provided in this application for loan assessment and administration.